scholarly journals Prognostic Value of Circadian Brain Temperature Rhythm in Basal Ganglia Hemorrhage After Surgery

2021 ◽  
Author(s):  
Hsueh-Yi Lu ◽  
Abel Po-Hao Huang ◽  
Lu-Ting Kuo
Keyword(s):  
Basal Ganglia ◽  
Prognostic Value ◽  
Brain Temperature ◽  
Temperature Rhythm ◽  
Basal Ganglia Hemorrhage

A minimally invasive anterior skull base approach for evacuation of a basal ganglia hemorrhage

2015 ◽  
Vol 22 (11) ◽  
pp. 1816-1819 ◽  
Author(s):  
Dale Ding ◽  
Colin J. Przybylowski ◽  
Robert M. Starke ◽  
R. Sterling Street ◽  
Amber E. Tyree ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Minimally Invasive ◽  
Skull Base ◽  
Anterior Skull Base ◽  
Base Approach ◽  
Skull Base Approach ◽  
Basal Ganglia Hemorrhage

Effect of acetylsalicylic acid usage and platelet transfusion on postoperative hemorrhage and activities of daily living in patients with acute intracerebral hemorrhage

2013 ◽  
Vol 118 (1) ◽  
pp. 94-103 ◽  
Author(s):  
Xiaowei Li ◽  
Zhaosheng Sun ◽  
Wangmiao Zhao ◽  
Jinrong Zhang ◽  
Jianchao Chen ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Mortality Rate ◽  
Activities Of Daily Living ◽  
Acetylsalicylic Acid ◽  
Daily Living ◽  
Controlled Trial ◽  
Postoperative Hemorrhage ◽  
Basal Ganglia Hemorrhage ◽  
Hemorrhage Volume ◽  
Apheresis Platelets

Object The authors evaluated the effects of acetylsalicylic acid (ASA) usage and transfusion of previously frozen apheresis platelets on postoperative hemorrhage, activities of daily living (ADL) score, and mortality rate in patients with acute hypertensive basal ganglia hemorrhage undergoing craniotomy. Methods This was a prospective, double-blind, parallel, randomized controlled trial in patients with acute hypertensive basal ganglia hemorrhage, who had either not received ASA therapy (control) or received ASA therapy. The patients who received ASA therapy were divided according to the results of a platelet aggregation test into ASA-resistant, ASA-semiresponsive, and ASA-sensitive groups. All patients required an emergency craniotomy for hematoma removal after hospitalization. The patients who were sensitive to ASA were randomized to receive one of the following transfusion regimens of previously frozen apheresis platelets: no transfusion, 1 therapeutic dose before surgery, or 2 therapeutic doses (1 before surgery and 1 after 24 hours of hospitalization). The postoperative hemorrhage rate and the average postoperative hemorrhage volume were recorded and the ADL scores and mortality rate were measured during a 6-month follow-up period. Results The rate of postoperative hemorrhage, average postoperative hemorrhage volume, and mortality rate were significantly higher in the ASA-sensitive patients who received ASA therapy compared with patients who did not receive ASA therapy (all p < 0.005). The ADL scores were grouped into different grades and the number of cases in the lower grades was higher and the overall scores were poorer in patients who received ASA therapy compared with those who did not (all p < 0.005). After transfusion of previously frozen apheresis platelets, the postoperative hemorrhage rate, average postoperative hemorrhage volume, and mortality rate of the ASA-sensitive patients were significantly lowered (all p < 0.005), and the ADL scores and their classification level were better than those of patients who did not undergo transfusion (all p < 0.005). Conclusions Transfusion of previously frozen apheresis platelets reduces the rate of postoperative hemorrhage, average postoperative hemorrhage volume, disability rate, and mortality rate in ASA-sensitive patients with acute hypertensive basal ganglia hemorrhage undergoing craniotomy.

Plasma ADAM-10 levels and functional outcome of acute primary basal ganglia hemorrhage

2021 ◽  
Author(s):  
Ma-Jing Feng ◽  
Wei Wang ◽  
Xue-Feng Zhang ◽  
Fang-Fang Che ◽  
Jie Yang ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Functional Outcome ◽  
Basal Ganglia Hemorrhage

Abstract TP20: Prediction of Hemorrhagic Transformation After Endovascular Thrombectomy by Cerebral Blood Volume and Time to Reperfusion

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Tomohide Yoshie ◽  
Toshihiro Ueda ◽  
Tatsuro Takada ◽  
Shinji Nogoshi ◽  
Satoshi Takaishi ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Blood Volume ◽  
Endovascular Therapy ◽  
Cerebral Blood Volume ◽  
Hemorrhagic Transformation ◽  
Cortical Region ◽  
Early Reperfusion ◽  
Endovascular Thrombectomy ◽  
Significant Difference ◽  
Basal Ganglia Hemorrhage

Introduction: Previous studies suggested that low cerebral blood volume (CBV) lesion predicts hemorrhagic transformation after endovascular therapy. Hypothesis: We assessed the hypothesis that delays in time to reperfusion lead to hemorrhagic transformation on T2*-weighted MRI after endovascular therapy in patients with low CBV obtained from pre-treatment CT perfusion (CTP). Methods: We retrospectively analyzed 62 consecutive patients with acute ischemic stroke who were obtained successful reperfusion (TICI 2A-3) by endovascular thrombectomy for internal carotid artery or M1 occlusion. CTP maps were assessed for relative CBV (rCBV) values obtained separately for cortical and basal ganglia regions in the MCA territory. The presence of cortical and basal ganglia hemorrhage (either HI or PH) was assessed on T2*-weighted MRI after endovascular therapy. We analyzed the influence of rCBV in each region, CTP-to-reperfusion time and degree of reperfusion on cortical and basal ganglia hemorrhage. Results: Forty patients developed hemorrhagic transformation. HIs occurred in 16, PH1s in 21, PH2s in 3 and symptomatic hemorrhage in 1 of the patients. rCBV of the cortical region (0.77 versus 0.98, P=0.002) and basal ganglia region (0.64 versus 0.88, P<0.001) were significantly lower in the patients with hemorrhage than in those without. There was no significant difference in CTP-to-reperfusion time between cortical hemorrhage and no cortical hemorrhage groups. However, in the patients with low cortical rCBV (rCBV <0.8) and TICI ≥2b, mean CTP-to-reperfusion time was significantly shorter (70 versus 108 minutes, p=0.021) in the non-cortical hemorrhage group. There was no significant difference in CTP-to-reperfusion time between basal ganglia hemorrhage and non-basal ganglia hemorrhage groups. Conclusions: Early reperfusion decreases risk of cortical hemorrhage in patients with low cortical rCBV. Low rCBV in basal ganglia region is more predictive of basal ganglia hemorrhage than time to reperfusion.

scholarly journals Long-Term Effect of Endoscopic Evacuation for Large Basal Ganglia Hemorrhage With GCS Scores ≦ 8

2020 ◽  
Vol 11 ◽  
Author(s):  
Haixiao Liu ◽  
Xun Wu ◽  
Zhijun Tan ◽  
Hao Guo ◽  
Hao Bai ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Term Effect ◽  
Long Term Effect ◽  
Basal Ganglia Hemorrhage ◽  
Endoscopic Evacuation

scholarly journals Prediction of Motor Recovery in Patients with Basal Ganglia Hemorrhage Using Diffusion Tensor Imaging

2020 ◽  
Vol 9 (5) ◽  
pp. 1304
Author(s):  
Yu-Sun Min ◽  
Kyung Eun Jang ◽  
Eunhee Park ◽  
Ae-Ryoung Kim ◽  
Min-Gu Kang ◽  
...  
Keyword(s):  
Diffusion Tensor Imaging ◽  
Basal Ganglia ◽  
Diffusion Tensor ◽  
Pearson Correlation ◽  
Motor Recovery ◽  
Recovery Stage ◽  
Poor Outcome Group ◽  
Outcome Group ◽  
Putaminal Hemorrhage ◽  
Basal Ganglia Hemorrhage

Predicting prognosis in patients with basal ganglia hemorrhage is difficult. This study aimed to investigate the usefulness of diffusion tensor imaging in predicting motor outcome after basal ganglia hemorrhage. A total of 12 patients with putaminal hemorrhage were included in the study (aged 50 ± 12 years), 8 patients were male (aged 46 ± 11 years) and 4 were female (aged 59 ± 9 years). We performed diffusion tensor imaging and measured clinical outcome at baseline (pre) and 3 weeks (post1), 3 months (post2), and 6 months (post3) after the initial treatment. In the affected side of the brain, the mean fractional anisotropy (FA) value on pons was significantly higher in the good outcome group than that in the poor outcome group at pre (p = 0.004) and post3 (p = 0.025). Pearson correlation analysis showed that mean FA value at pre significantly correlated with the sum of the Brunnstrom motor recovery stage scores at post3 (R = 0.8, p = 0.002). Change in the FA ratio on diffusion tractography can predict motor recovery after hemorrhagic stroke.

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